Republic of the Philippines

Department of Health
OFFICE OF THE SECRETARY

5 March 2019

DEPARTMENT MEMORANDUM
No. 2019 - O14

TO >:
ALL REGIONAL DIRECTORS, HUMAN RESOURCE
DEVELOPMENT UNIT (HRDU) HEADS, TRAINING
SPECIALISTS AND OTHERS CONCERNED

SUBJECT : Acceptance of Scholars and Partner Schools for the Department of

Health Pre-Service Scholarship Program for School Year 2019-
2020

Department of Health (DOH) is now accepting applicants for the Pre-Service

Scholarship Program (PSSP) for Medicine and Midwifery for SY 2019-2020. All DOH
Centers for Health Development (CHDs)/DOH Bangsamoro Autonomous Region in Muslim
Mindanao (BARMM) are
hereby directed/advised to observe the guidelines detailed in
Administrative Order (AO) No.2018-0022 entitled “Guidelines on the Implementation of the
Department of Health’s Pre-Service Scholarship Program (PSSP) for Priority allied Health
Courses.”

In addition, please be reminded ofthe following:

1. For SY 2019-2020, only incoming 1* year and 3™ year students are eligible to apply for
the PSSP for Medicine. Please see Annex A for the Selection Criteria as basis for
evaluating scholars. Further, please see Annex B for the updated list of PSSP Partner
Schools.

2. The DOH shall grant to the scholars a package that includes:

a. Tuition fees, laboratory, miscellaneous and other related school fees which shall be
paid directly to the partner school.
b. Subsidy and allowances which shall be paid directly to the scholars:

ALLOWANCES MEDICAL MIDWIFERY

Book Allowance Php12,100.00/semester Php10,000.00/semester
Uniform Allowance 3,025.00/semester 2,500.00/semester
Miscellaneous Allowance 5,500.00/semester 5,500.00/semester
Living Subsidy 4,500.00/month 4,500.00/month
Lodging 3,000.00/month 3,000.00/month
Transportation Allowance 880.00/month 880.00/month

jscfcdmd/hhrdb/19-04

Building 1, San Lazaro Compound, Rizal Avenue, Sta. Cruz, 1003 Manila e Trunk Line 651-7800 local 1108, 1111, 1112, 1113
Direct Line: 711-9502; 711-9503Fax: 743-1829 e URL: http://www.doh.gov.ph; e-mail: ftduque@doh.gov.ph
 c. Enrolment to Philippine Health Insurance Corporation for 18 years old and above
in the amount of Php200.00 per month.

3. Ali CHDs and DOH BARMM can accept and evaluate applications for accreditation as
DOH Partner School. Please see Annex C for the Validation Criteria for Partner
Schools.

Minimum qualifications required for partner schools are as follows:

a. Must be recognized by the Commission on Higher Education (CHED);

b. Must have a performance of at least 65% passing average for first time takers in the
licensure examination of the Professional Regulation Commission;
c. Must be willing to provide financial counterpart for the balance of tuition,
miscellaneous, laboratory, student and other fees;
d. Must be capable to provide facilities / infrastructure to deliver quality education that
is critical to produce competent, committed and community oriented health
workers;
e. Must have designated Scholarship Coordinator or Focal Person for the DOH Pre-
Service Scholarship Program;
f. Must have slots for members of the Tribal Groups and from GIDAs;
g. Preferably accessible to DOH CHDs and Affiliating Hospitals / health facilities;
h. Must be capable to conduct review classes for graduating scholars.

4. Attached are the updated Scholarship Process Flow (Annex D), Scholarship Contract
(Annex E), and Commitment to Render Return Service Obligation (Annex F), for
guidance.

For other concerns and inquiries, please contact Career Development and Management
Division of Health Human Resource Development Bureau at (02) 6517800 local 4224 / 4227
or at (02) 7431776 or through email at cdmd.hhrdb.doh@gmail.com.

By Authority of the Secretary of Health:

MARIO &¢.
VIMLAVERDE, MD, MPH, MPM, CESOI
Undersecretary of Health

jscicdmd/hhrdb/19-04
 Annex B

DOH PRE-SERVICE SCHOLARSHIP PROGRAM

LIST OF DOH PARTNER SCHOOLS

/
FOR MEDICINE:
No. NAME OF SCHOOL UNIVERSITY iCOLLEGE REGION
1
University of the Philippines College of Medicine National Capital Region (NCR)
2 University of Northern Philippines Region I
3 Cagayan State University Region II
4 Angeles University Foundation Region III
5 Bicol Christian College of Medicine Region V
6 West Visayas State University .
R egion VI
7 Iloilo Doctor's College - College of Medicine
8 Southwestern University Phinma Region VII
&
Ine.
9 University of Cebu College of Medicine Foundation,
10 University of the Philippines- School of Health Sciences Region VIII
11 [Mindanao State University. Region X
12 _|Davao Medical School Foundation
Region
€ XI
13 [Brokenshire College

/
FOR MIDWIFERY:

.
;

No. NAME OF SCHOOL UNIVERSITY /COLLEGE REGION

1
Mary Chiles College :
National Capital Region (NCR)
:

2 Dr. Jose Fabella Memorial School of Midwifery

'
Cordillera Administrative Region
Cordillera Career Development College
:

3 (CAR)
4 Union Christian College
5 Urdaneta City University
6 University of Eastern Pangasinan Region I
,

Don Mariano Marcos Memorial State University

7
8 ‘North Luzon Philippines State College
9 Isabela State University Region II
10 {Bataan Peninsula State University
11 [Gordon College ys
Region
I]
12 Good Samaritan Colleges, Inc.
13 UP
School of Health Sciences-Baler Extension Campus
University of Perpetual Help System (Dr. Jose G. Tamayo Medical CALABARZON
14 University)
15 |Ago Medical and Educational
Center :
Region V
16 _[Tanchuling College
17 Iloilo Doctor's College Region VI
18 University of Bohol Region VII
19 _|Holy Infant College

UP School of Health Sciences-Main Campus (Palo, Leyte)

20 Region VIII

Franciscan College of Immaculate Conception

1
22 _|Brent Hospital and Colleges Incorporated Region IX
23 [Davao Medical School Foundation, Inc. Region XI
.

;
24 _|Brokenshire College
25 Alexius College Koronadal City
_‘|St.

26 |UP School of Health Sciences-Koronadal Extension Campus Region

& XII
27‘ |Sultan Kudarat State University
28 MMG
College of General Santos City, Inc,
29 {Butuan Doctor's College Region XIII

Autonomous Region of Muslim

Tawi-Tawi School of Midwifery
: :
ey Mindanao (ARMM)
30
 Annex D
Republic of the Philippines
Department of Health
OFFICE OF THE SECRETARY

PROCESS FLOW
Department of Health (DOH) Pre- service Scholarship

Ref. No. Key Activities Responsibilities

" DOH announces the
availability of the
scholarship grant through the Centers " DOH-HHRDB

1 Announcement of for Health Development (CHDs) and

partner schools
"
=
DOH-CHDs
Partner Schools
Scholarship
|
v DOH
partner schools screen and
evaluate interested applicants *"
DOH (HHRDB, CHDs)
Applicants that are endorsed by the =" DOH
scholarship
2 Application and partner schools will undergo evaluation committee
based on the criteria and requirements = Partner schools
Screening set by DOH. = Interested applicants

i
1
DOH
through the scholarship
committee, HHRDB and CHDs shall " DOH Scholarship
validate and evaluate the applicants committee
Validation, endorsed by the partner schools « DOH-HHRDB
3 Evaluation and DOH
through the scholarship committee = DOH CHDs
approval of approves the list
of accepted scholars
successful scholars *Successful scholars shall be notified
through the CHD and partner schools
I

1 DOH HHRDB and CHDs shall facilitate

the signing of MOA with the partner * DOH-HHRDB and
oo of MOA,
Signing
schools for the joint implementation of
the scholarship program «
CHDs
Partner Schools
Contracts and Signing of scholarship contracts and Scholars
to
=
4 Commitment CRSOs with parents’/guardians as
Render Service witness. Submit duly signed documents
Obligation (CRSO) to partner school for processing

CHDs shall facilitate the notary of

1 scholarship contracts and CRSOs as = DOH HHRDB and
endorsed by HHRDB CHDs
Notary of Duly Notarize and submit scholarship « Partner Schools
5
Signed Scholarship contracts and CRSQs to partner school
for endorsement to DOH through
Contracts and
CRSOs concerned CHDs

Partner schools shall submit

performance reports to the CHDs at the = DOH CHDs
end of every semester with appropriate Partner school
v
=

recommendations on the scholarship of

Monitoring of the students
CHDs shall provide updates to HHRDB
6 Academic
Performance and at the end of every semester with
appropriate recommendations on the
Tracking of status of scholarship and performance
Scholars of partner schools
= Schools shall provide DOH the list of
Ref. No. Key Activities Responsibilities
successful graduates and those who
have failed to finish the course with DOH CHDs
Monitoring of complete contact details of scholars Partner Schools
Academic Partner Schools shall provide DOH the
Performance and list of scholars who took the licensure
Tracking of exam and those who did not
Scholars Partner Schools shall provide the list of
passers and those who have failed the
licensure exams
Partners Schools shall inform the
scholars to report to the respective
Regional Office upon passing the board
examination
Vv
Students shall render (two) 2 years of
service for every one (1) year of " DOH-HHRDB
scholarship grant " DOH- CHDs
7 Rendering of return « Partner schools
service obligations * Scholars

2 of 2
 Annex E

Republic of the Philippines

Department of Health
OFFICE OF THE SECRETARY
Manila, Philippines

SCHOLARSHIP CONTRACT FOR BACHELOR

MIDWIFERY
OF SCIENCE IN
This Scholarship Contract entered and executed by and between the
Government of the Philippines through the Department of Health (DOH)
represented by <NAME>, OIC- Director IV of Health Human Resource
Development Bureau (HHRDB), referred to as the “GRANTOR”;

-and-

<NAME OF SCHOLAR>, of legal age, Filipino with residence at

, Philippines, herein referred to as the
“GRANTEE”.

WITNESSETH:

Pursuant to the DOH Midwifery Scholarship Program awarded to the GRANTEE,

the latter hereby agrees to fulfill the following term and conditions:

1, Meetall the academic requirements of the partner school and finish the
course within the prescribed period;

Pass the board examination within one (1) year after graduation;

Serve the GRANTOR for

two (2) years for every year of scholarship,
through the DOH Deployment Program as return service, upon passing
the board examination;

Refund the amount equivalent to the current average tuition fees of

midwifery schools, and reimburse all other expenses incurred with
10% mark-up per year, should he/she fail to comply with the foregoing
conditions through his/her fault, willful neglect, or other causes within
his/her control. Re-computation is based on prevailing inflation rate;

. To behave and conduct himself/herself in such a manner that will not

bring damage to the Department of Health, the University, its
administration, faculty and students, and shall neither engage in
reprehensive, illegal or subversive and corrupt activities, as defined by
existing laws.

The GRANTORS shall:

1. Provide the GRANTEE allowances per semester, as follows:

1.1 Book Allowance ................4. Php 10,000.00
1.2 Uniform Allowance ............... Php 2,500.00
1.3 Miscellaneous Allowance ....... Php 5,500.00
Php 18,000.00
 Provide the GRANTEE allowances per month, as follows:
1.4 Transportation Allowance ...... Php 880.00
1.5 Living Subsidy ...................65 Php 4,500.00
1.6 Lodging Allowance ............... Php 3,000.00
Php 8,380.00

Provide the GRANTEE of the Review and Board Examination Fees

2. Ensure timely release of allowances to the GRANTEE;

3. Pay directly to partner school the agreed tuition fee, miscellaneous,

laboratory and student fund of the GRANTEE per billing submitted by
the school;

4. In case of violation of the terms of this contract, the DOH has theoption
to try to reconcile the issues before filing an appropriate action in the
proper courts or could go directly to court;

5. Provide items/ employment positions for the licensed graduates under this
program, through the Department of Health;

6. Be vested solely with the deployment of GRANTEES to the DOH

priority areas as a return service through the Department of Health.

7. Ensure that the processing of information of the GRANTEE shall be

conducted in compliance with the Data Privacy Act of 2012 and other
related issuances, including having a Data Sharing Agreement between the
GRANTEE and the GRANTOR before the information are released or
shared.

IN WITNESS WHEREOF, we have hereunder set our hands this day of

2019 at , Philippines.

GRANTORS

<NAME>
Director IV, HHRDB

GRANTEE

<NAME OF SCHOLAR>
Scholar

Signed in the presence of:

<NAME>
Director IV
DOH
Regional Office No.

GWYN GRACE M. DACURAWAT, RN, MAN

Chief, Career Development Management Division

<NAME>
Dean
<NAME OF SCHOOL>
 ACKNOWLEDGEMENT

REPUBLIC OF THE PHILIPPINES)

CITY OF _)s.s.

BEFORE ME,
this
a
Notary Public for and in City of
day of personally appeared:
, Philippines,

<NAME>
Director IV, HHRDB
Gov’t Issued ID:
ID No.:
Date Issued:

<NAME OF SCHOLAR>
Midwifery Scholar
Gov’t Issued ID:
ID No.:
Date Issued:

Known to me to be the same persons who executed the foregoing

instrument, consisting of three (3) pages including this page as embodiments of
their own, true and free act.

WITNESS MY HAND AND SEAL, | this day of

2019
atthe City of , Philippines.

NOTARY PUBLIC

Doc. No.
Page No.
Book No.
Series of
 Annex E

Republic of the Philippines

Department of Health
OFFICE OF THE SECRETARY
Manila, Philippines

SCHOLARSHIP CONTRACT FOR DOCTOR OF MEDICINE

This Scholarship Contract entered and executed by and between the

Government of the Philippines through the Department of Health (DOH)
represented by <NAME>, Director IV, Health Human Resource Development
Bureau, herein referred to as the “GRANTOR”;

-and-

<NAME OF SCHOLAR>, of legal age, Filipino with residence at

, Philippines, herein referred to as the
“GRANTEE”.

WITNESSETH:

Pursuant to the DOH Medical Scholarship Program and the year scholarship
awarded to the GRANTEE, the latter hereby agrees to fulfill the following term
and conditions:

1. Meet all the academic requirements of the partner school and finish the course
within the prescribed period;

2. Pass the board examination within one (1) year after internship;

Scholars shall render post- graduate internship in any DOH or Association of

Philippine Medical Colleges (APMC) accredited base hospital of the partner school.

The scholar shall complete his or her post-graduate internship within one (1) year
upon commencement.

3. Serve the GRANTOR for

two (2) years for every year of scholarship, initially
through the DOH Doctors to the Barrios Program, upon passing the board
examination;

4. Refund the amount equivalent to the current average tuition fees of medical schools,
and reimburse all other expenses incurred with 10% mark-up per year or render
return service, should he/she fail to comply with the foregoing conditions through
his/her fault, willful neglect, or other causes within his/her control. Re-computation
is based on prevailing inflation rate;

5. To behave and conduct himself/herself in such a manner that will not bring damage
to the Department of Health, the University, its administration, faculty and students,
and shall neither engage in reprehensive, illegal or subversive and corrupt activities,
as defined by existing laws.

The GRANTORS shall:

1. Provide the GRANTEE allowances per semester, as follows:

1.1 Book Allowance Php 12,100.00
...............08
1.2 Uniform Allowance ............... Php 3,025.00
1.3. Miscellaneous Allowance Php 5,500.00
......
Php 20,625.00
 y

Provide the GRANTEE allowances per month, as follows:

1.4 Transportation Allowance ...... Php 880.00
1.5 Living Subsidy .................0005 Php 4,500.00
1.6 Lodging Allowance ............... Php 3,000.00
Php 8,380.00

Pay Philhealth Premium per year P 2,400.00

Provide the GRANTEE of the Review and Board Examination Fees

2. Ensure timely release of allowances to the GRANTEE;

3. Pay directly to partner school the agreed tuition fee, miscellaneous, laboratory and
student fund of the GRANTEE per billing submitted by the school;

4. In case of violation of the terms of this contract, the DOH has the option to try to
reconcile the issues first before filing an appropriate action in the proper courts or could
go directly to court;

5. Provide items/ employment positions for the licensed medical graduates under this
program, through the Department of
Health;

6. Be vested solely with the deployment of GRANTEES to

the DOH priority areas in
accordance with DOH Doctors to the Barrios Program through the Department of
Health.

7. Ensure that the processing of information of the GRANTEE shall

be conducted in
compliance with the Data Privacy Act of 2012 and other related issuances, including
having a Data Sharing Agreement between the GRANTEE and
the GRANTOR before
the information are released or shared.

IN WITNESS WHEREOF, we have hereunder set our hands this day of

2019 at , Philippines.

GRANTORS

<NAME>
Director IV, HHRDB

GRANTEE

<NAME OF SCHOLAR>
Medical Scholar

Signed in the presence of:

<NAME>
Director [V
DOH Regional Office No.

GWYN GRACE M. DACURAWAT, RN, MAN

Chief, Career Development Management Division

<NAME>
Dean of the College
<NAME OF SCHOOL>
2
 ACKNOWLEDGEMENT

REPUBLIC OF THE PHILIPPINES)

CITY OF ) s.S.

BEFORE ME,
day of
a Notary Public for and in City of ,
personally appeared:
Philippines, this

<NAME>
Director IV, HHRDB
Gov’t Issued ID:
ID No.:
Date Issued:

<NAME OF SCHOLAR>
Medical Scholar
Gov’t Issued ID:
ID No.:
Date Issued:

Known to me to be the same persons who executed the foregoing

instrument, consisting of three (3) pages including this page as embodiments of
their own, true and free act.

WITNESS MY HAND AND SEAL, this day of

2019
at the City of , Philippines.

NOTARY PUBLIC

Doc.No.
Page No.
Book No.
Series of
 Annex F
Republic of the Philippines
Department of Health
OFFICE OF THE SECRETARY

SCHOLAR’S COMMITMENT TO RENDER SERVICE

OBLIGATION

I, 5 years old, with permanent

address at ,
do hereby declare that should J be selected as scholar under the DOH Medical Scholarship
Program, I am willing to render two (2) years of service to the government for every year or
fraction of a year of study/scholarship granted. I am willing to render the first three (3) years
in Public Health Care Services through the DOH- HRH Deployment Program or the DOH
Doctors to the Barrios Program.

IN WITNESS WHEREOF,
I do hereby affix my signature this at

Name of Scholar

Name of Parent/Guardian Name of Parent/Guardian

(Witness) (Witness)

SUBSCRIBE AND SWORN

Affiant
to before me this
exhibited to me his/her
at the

, Community Tax Certificate No.

issued at on

Doc. No.
Page No.
Book No.
Series
 Annex F
Republic of the Philippines
Department of Health
OFFICE OF THE SECRETARY

SCHOLAR’S COMMITMENT TO RENDER SERVICE OBLIGATION

I, , years old, with permanent

address at 5

do hereby declare that should I be selected as scholar under the DOH Midwifery Scholarship
Program, I am willing to render two (2) years of service to the government for every year or
fraction of a year of study/scholarship granted. I am willing to serve in Public Health Care
Services through the DOH- HRH Deployment Program.

IN WITNESS WHEREOPF,
I do hereby affix my signature this at

Name of Scholar

Name of Parent/Guardian Name of(Witness)

Parent/Guardian
(Witness)

SUBSCRIBE AND SWORN

Affiant
to before me this
exhibited to me his/her
at the

, Community Tax Certificate No.

issued at on

Doc. No.
Page No.
Book No.
Series